How To Implant PC IOL In Sulcus Following Posterior Capsule Rent ? By Dr Sudhir Singh #44 скачать в хорошем качестве

How To Implant PC IOL In Sulcus Following Posterior Capsule Rent ? By Dr Sudhir Singh #44

How To Implant PC IOL In Sulcus Following PC Rent ? By Dr Sudhir Singh The IOL can then be inserted through the main incision, with the leading haptic directed toward the sulcus opposite from the entry incision and the trailing haptic resting on the anterior surface of the iris. After ensuring that the leading haptic is placed over the anterior surface of the anterior capsule, the IOL can be dialed into the sulcus; the IOL should not be tilted after dialing. Three piece foldable IOLs can also be implanted in the sulcus. The leading haptic is directed toward the sulcus, the optic unfolds at the pupillary plane, and the trailing haptic is placed over the anterior surface of the iris. Before the IOL is dialed into the sulcus, the leading haptic should be well positioned in the sulcus. I prefer PMMA IOL in all situations for sulcus as its light weight, more stable then bulky and unstable foldable IOL. Foldable IOLs have more post operative uveitis as compared to PMMA. The OVD is washed thoroughly from the anterior and posterior chambers and behind the IOL with the help of the I/A cannula and vitreous cutter. Complete removal of OVD is mandatory to avoid development of complications such as severe inflammatory reaction, hazy media, exudative membranes, secondary glaucoma, and cystoid macular edema. Intracameral miotic agents such as carbachol or pilocarpine can be used to constrict the pupil and prevent IOL destabilization after implantation. Any peaking of the pupil after constriction indicates that vitreous is incarcerated in that region. It should be immediately cleared with the vitreous cutter. The anterior chamber is formed with balanced saline solution, with or without air, and the main and side port incisions are sealed with hydration .I prefer to use 10-0 sutures for the main and side port incisions, as vitrectomized eyes are prone to hypotony . Dr Sudhir Singh, M.S Senior Consultant & HOD (Ophthalmology) Global Hospital & Research Centre Mount Abu India 307501 Visiting Senior Consultant Ophthalmologist Global Institute Of Ophthalmologist Abu Road 307510 [email protected] http://www.squintmaster.com/ http://www.theeyetimes.com/ http://www.rostimes.com/